Quality of life in children with epilepsy: Effect of socio-demographic factors and Parental awareness of seizure action plan in Eastern India
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Keywords
Epilepsy, Quality of life, Seizure , Parental awareness, QOLCE-55
Abstract
Background: Epilepsy is a chronic neurological disorder that disrupts daily life and negatively impacts quality of life (QOL). While most medical approaches focus on seizure control, there is limited attention to the QOL of children with epilepsy (CWE) in eastern India. This study aimed to assess QOL among CWE and examine the influence of socio-demographic factors, seizure characteristics, and parental awareness of a seizure action plan (SAP).
Methodology: This cross-sectional study was conducted in the Department of Paediatrics at a tertiary care teaching hospital in eastern India from December 2020 to May 2022. Eighty children aged 5-15 years, all diagnosed with epilepsy and on antiepileptic medication for at least six months, participated. Approval was obtained from the Institutional Ethics Committee of the concerned hospital. The participants were interviewed using a structured pre-tested schedule. The QOL of the participants was evaluated using the Quality of Life in Childhood Epilepsy (QOLCE-55) questionnaire. Parental awareness of SAP was assessed based on their knowledge of essential seizure management actions. Kruskal Wallis test was used to identify factors associated with QOL.
Results: The mean age in the study population was 9.37 ± 3.57 years, with 56.45% males. The mean QOL scores in cognitive, emotional, social, and physical domains were 59.41, 55.11, 56.40, and 65.11, respectively. QOL steadily declined with age, with emotional and social domains more impacted in older children. Maternal illiteracy, low socioeconomic status, and earlier onset of epilepsy were significantly associated with poorer QOL (p<0.001). Only 21.25% of parents had complete awareness of SAP, and the children of these parents had relatively better QOL scores.
Conclusion: QOL was better in CWE who were younger, had late-onset epilepsy, belonged to the upper socioeconomic class, and whose mothers were educated. Interventions enhancing parental awareness about SAP may lead to improvement in the QOL of CWE.
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Aishwarya Senapaty, Department of Paediatrics, AIIMS, Bhubaneshwar, India
Senior Resident, Department of Paediatrics
Preeti Srivastava, Tata Main Hospital, Jamshedpur
Assistant Professor, Department of Paediatrics
Shikha Swaroop, Tata Main Hospital, Jamshedpur
Assistant Professor, Department of Paediatrics
Roshan Mohanty, Tata Main Hospital, Jamshedpur
Post-graduate Trainee, Department of Paediatrics
Adyasha Mishra, Tata Main Hospital, Jamshedpur
Post-graduate Trainee, Department of Paediatrics